Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.30 / $205.20 / $336.38	Facility		$118.30	$205.20	$336.38
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $28.86 / $28.86 / $586.21	Facility	25	$28.86	$28.86	$586.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.07 / $164.15 / $300.00	Professional		$110.07	$164.15	$300.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $149.58 / $240.52 / $354.35	Professional	25	$149.58	$240.52	$354.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $197.86 / $240.93 / $240.93	Professional		$197.86	$240.93	$240.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.32 / $937.61 / $2,181.16	Facility		$177.32	$937.61	$2,181.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.43 / $195.39 / $229.87	Professional		$152.43	$195.39	$229.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.43 / $212.04 / $317.47	Professional		$151.43	$212.04	$317.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $130.84 / $222.59 / $431.48	Professional		$130.84	$222.59	$431.48
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $167.56 / $172.80 / $272.82	Professional		$167.56	$172.80	$272.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $308.49	Professional		$32.34	$32.34	$308.49
United Facility/Professional Professional Modifier Low / Median / High Price $140.65 / $216.11 / $337.91	Professional		$140.65	$216.11	$337.91